MR. JERRY DAVIS-EL CADC
NPI 1841796992
Social Worker - Clinical in Chicago, IL

Active since April 05, 2018PECOS Enrolled
33 E 114TH ST, CHICAGO, IL 60628(773) 660-4630(773) 660-4650 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jerry Davis-el Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERRY DAVIS-EL CADC (NPI 1841796992) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (29962) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841796992
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JERRY DAVIS-ELCredential: CADC
Location Address33 E 114TH STChicago, IL 60628-4921
Mailing Address222 S Jefferson StChicago, IL 60661-5603 · (312) 441-9009 · Fax (312) 441-9019
Fax(773) 660-4650
Sole ProprietorYes
Enumeration DateApril 5, 2018
Last NPPES UpdateJanuary 23, 2026
NPPES CertifiedJanuary 23, 2026
NPI 1841796992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 29962
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

33 E 114TH ST, Chicago, IL 60628

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jerry Davis-el Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60628 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Counselor
33 E 114TH ST
CHICAGO, IL 60628
Social Worker (Clinical)
33 E 114TH ST
CHICAGO, IL 60628
Case Management
33 E 114TH ST
CHICAGO, IL 60628
Social Worker (Clinical)
33 E 114TH ST
CHICAGO, IL 60628
Social Worker
33 E 114TH ST
CHICAGO, IL 60628
Counselor (Addiction (Substance Use Disorder))
33 E 114TH ST
CHICAGO, IL 60628
Counselor (Addiction (Substance Use Disorder))
33 E 114TH ST
CHICAGO, IL 60628
Counselor (Addiction (Substance Use Disorder))
33 E 114TH ST
CHICAGO, IL 60628

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Davis-el's NPI number?

The NPI number for Jerry Davis-el is 1841796992. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Jerry Davis-el located?

Jerry Davis-el practices at 33 E 114th St, Chicago, IL 60628. The listed phone number is (773) 660-4630.

What is Jerry Davis-el's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jerry Davis-el enrolled in Medicare?

Yes. Jerry Davis-el is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Davis-el was last updated on January 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.